Project profile — Enhancing HIV Prevention Programs

The main objective of this initiative is to avert HIV infections among high-risk populations. The Program for Appropriate Technology in Health (PATH) is supporting, through a sub-granting process, the implementation of several HIV prevention interventions that are predicted to be cost-effective. PATH is also ensuring methodologically rigorous research and evaluation to better understand and assess the impact of these approaches on indicators such as behaviour change and HIV incidence rates, among others indicators. Results from the interventions are synthesized and disseminated by PATH, and lessons learned are highlighted.

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Results achieved as of December 2014 include: The Arise program reached more than 300,000 people over five years with services such as HIV voluntary counseling and testing for couples (CVCT), harm reduction services for PWID, integrated family planning and HIV services, and prevention of mother to child transmission of HIV (PMTCT). Awareness campaigns and community mobilization activities reached more than 400,000 people, and more than 5,000 health care workers were trained. Based on modelling results, interventions under the Arise program averted between 5, 198 and 6,3132 HIV infections. The cost per infection averted (per DFATD specification) ranged between US$934 and $4,332. In Zambia, The project exceeded its target of providing at least 68,000 couples with HIV testing and counseling. During the project 68,347 couples (136,694 individuals) were tested, and 3,973 health care workers were trained. By March 2013, CVTC was established as a standard of care in 58 clinics and averted an estimated 2,443 HIV infections at a project cost per infection of US$1,550.